HomeMy WebLinkAboutBLD22612 Final Garage - BLD Permit / Conditions - 9/27/1988 TYPE GARAGE
22612 Floors S Ft 6 0
Permit No. No. Floo q g 0
Owner HOFTO, Leroy Tel 275-3401 Date 8-26-88
Address NE 120 Anchor Dr Belfair Zip
Contractor Clarence Hedstrom Belfair
Address Zip
Legal Description Beards Cove Div 3, Lot 26
Direction to project site Same address as above
Plumbing Mechanical Sewer Wood Stove
Fireplace Deck Garage Det Carport
Basement Loft Other
Shorelines: Plumbing:
g
Setback: Mechanical:
Special Interior:
Conditions: FINAL: 16
Mobile Home:
Smoke Detector:
Remarks:
Footing:Irle
Setback:c/
Foundation
Walls: f/&
Framing:
Fireplace:
Wood Stoves:
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
426-5593 DATE ISSUED
PERMIT NO: -
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
tI o �' d o l T -
DIRECTIONS
TO JOB SITE , d LEGAL
DESCR. � / yRC�s �V.F 167-
CONTRACTOR
A E MAIL,yDDRESS CITY&STATB� LICENSE NO, ZIP PHONE
USE
BUILDING
CLASS OF NEW I�/ ADDITION ALTERATION REPAIR MOVE REMOVE
WORK
DESCRIBE
WORK
BEDROOMS DECKS CARPORT NOTICE
SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR
BATHROOMS TOTAL SQ.FT. GARAGE CONDITIONING.
NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT
COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR
TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED,
PERMANENT SHORELINE (.? �
SEASONAL
OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE
REQUIiIEMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN
IN CO FORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING
OBTAI ING APPROVAL FROM THE BUILDING DEPARTMENT, APPROVAL FROM THE BUILDING DEPARTMENT.
_ ! U
NER DATE D X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVENo DEPARTMENT YES No
BUILDING VALUATION �-
HEALTH qf, PUBLIC WORKS FEE
PLANNING `' FIRE BUILDING PERMIT
D.O.T. BUILDING ���� PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
SHORELINE
PLANNING
PLUMBING
MECHANICAL
STATE BUILDING FEE F'
STATE SURCHARGE
APPLICATION ACCEPTED BY P N CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
MA TOTAL
;,� BY�G9'� -�=� CASH CK MO
PLOT PLAN
ADDRESS PERMIT NO. o
� o
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LEGAL
DESCRIPTION BLK _t� A ADDITION
SITE AREA / Sq. Ft.^/` %REA OF SITE OCCUPIED BY BUILDINGS Sq. Ft.
INSTRUCTIONS TO APPLICANT
THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1"-20' ARE
FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.)
FOR N8W BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF
PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN-
SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA-
TION A"D SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL
SERVICE LINES.SHOW LOCATION OF SURVEY PINS,SPECIFY THE USE OF EACH BUILDING AND MAJOR POR-
TION THEREOF.
INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20'
Lw
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I/We certify that the proposed construction will wnform t:thedir-rm-mij
first obtaining approval. r^
V'
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NAME(S) OF OWNER(S) OF SITE s STRUC (S) (PRINT) 111rNATURE OVO NE l 1 OR UTNO RI REPRESENTATIVE
DO NOT WRITE BELOW THIS LINE tZ
APPROVED
DISTRICT AS NOTED DATE
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